摘要
目的探讨高频阴道彩超下宫腔声学造影（TV-SHG）对Ⅰ期（Ⅰa，Ⅰb，Ⅰc）子宫内膜癌的诊断价值。方法对49例术前行TV-SHG检查，经手术病理证实的28例I期子宫内膜癌患者进行分析，根据二维图像特点和病灶内部及周围肌层的彩色血流情况，判断其肌层浸润程度，并与术后病理结果进行对照分析。结果I期子宫内膜癌28例，Ⅰa期10例，Ⅰb期14例，Ⅰc期4例，TVS敏感性为67.8％，特异性为85.7％，准确率为75.5％；TV-SHG敏感性为85.7％，特异性为95.2％，准确率为89.8％。结论TV-SHG能较准确地诊断I期（Ⅰa，Ⅰb，Ⅰc）子宫内膜癌，为术前判断肌层浸润程度提供了有效方法，对临床早期发现子宫内膜癌、制定手术治疗方案提供可靠依据。
Objective To discuss the diagnosis value of the high frequency Transvaginal Sonohysterosgraphy（TV-SHG） in diagnosing the Stage I （ Ia, Ib, Ic） Endometrial Cancer. Methods 49 cases were performed the routine TV-SHG before surgery. And 28 cases diagnosed as stage I endometrial carcinoma by the surgical pathology were used to analyze the pathological results of the fre and post-surgery. According to the two-dimensional image＇s features and the color blood flow conditions in the inner and surrounding of tumor as well as judging the tumor depth. Results Stage I endometrial cancer were 28 cases, 10 cases were stage Ia, 14 stage Ib, and 4 stage Ic. The sensitivity, differential rate and accuracy rate of the TVS and TV-SHG were 67.8%,85.7%, 75.5% and 85.7%, 95.2%, 89.8% respectively. Conclusion The TV-SHG can diagnose accurately the Stage I （ Ia, Ib, Ic） endometrial cancer, which can provide effective approach to judge the tumor depth before operation, and provide reliable diagnosis basis for early finding the endometrial cancer,schedule the therapy plan.
出处
《北华大学学报（自然科学版）》
CAS
2008年第1期58-60,共3页
Journal of Beihua University（Natural Science）
关键词
子宫内膜癌
FIGO分期
阴道超声
经宫腔声学造影
肌层浸润
Endometrial cancer
FIGO stage
Transvaginal sonography
Transvaginal sonohysterography
Tumordepth
